HomeMy WebLinkAbout18821 Delaware St - CofO (77)• 0
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HUNTINGTON BEACH
Business AddrE
Business OwnE
Business NamE
Business Type
CERTIFICATE OF OCCUPANCY 0201 q- CAZI
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
(3rd Floor - The Applicant Must Apply In -Person)
Date (I?_%�� �
ZIp Code f
Telephone No
G Bus. Phone(
Rrooertv Owner Information (required) Tenant/Emeraencv Contact (required)
Name ulV1 _Name _ HC4 &e-_
4 '/-) - -
Add r ,. Home ddress_ _
—.- _ ` - _ State/Zip
Ci V, e/Zipl_ City . p
Telephone N� C�-1 g , lg i2 Telephone No:, 31 D 2i
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or Existing Building
IS THIS BUILDING FIRE SPRINKLERED? zrYes ❑ No
CHECK ALL THAT APPLY:
❑ Change of Business Owner ❑ Change of Occupant ❑ Change of Use pAdditional Occupant
• Indicate former type of business
• Are you requesting that the electricity be turned on? ❑Yes [3' No
• Will operations produce dust/wood shavings or similar material? ❑ Yes , Flo
• Will operations involve the repair or replacement of automobile parts? ❑Yes EjNo If yes: Describe the
components repaired or replaced.
• Does the operation involve the use of welding or open flame? ❑ Yes No
• Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes No
• Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes fa'ICIo
• The following best describes my operation: ❑ Office Only ❑ Retail SEl Medical / tal
ElWarehouse/Manufacturing/Distribution El ale Restaurant/Take-Out Food Other G ALL
• Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes KNo
If you answered yes, please proceed to the next question.
• Does your facility currentl have a grease control device (i.e. grease trap or grease interceptor)?
Check one: ❑ Yes V0
Grease Interceptor Verified Inspected By Initials: Date:
For Official Use Only c2
Occ Group: V Area: W Occ Load: 1-7
Occ Group: Area: Occ Load:
Occ Group: Area: Occ Load:
Total Sq Ft Occupied: `")cam No. of Stories: TIF Review: Y
Bldg. Permit # Entitlement #: Zoning:
Use Permitted: VY N Parking Meets Code (for use): Y N
Planning Initials: Date: 2 I Building Reviewed By Initials: Date:
Zz l`cf
Conditions of Approval or Other Notes: A4 h n wo o 1 i:, Q p %rw 100 •
019 cD w �2
South Coast
Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182
Phone Number (909) 396-3529 http://www.agmd.gov
° sc
Air Quality Permit Checklist
California State Law Code 65850.2 prohibits cities from issuing an occupancy permit to a business without clearance from
the local air quality agency. This checklist will determine if you need to obtain clearance from the South Coast Air Quality
Management District (AQMD).
Company Name: C'1UUfo V 11& ew st
Property Address: i 1012_1 AYUV301yeU_Vt.i`r A(? nDs
City: Zip Code: C1 1,)V4
Contact Perso : oe ��- Title:
Type of B� � usiness: �� Telephone: l � I
Fax Number: _ _ _ E-mail Address: C. m
I", imp W, i I _1 WE .101- R A �_ 10 1
fig
1. Will the facility release air pollutants, including but not limited to, dust fumes, gas, mist, odors, smoke, vapor, or a
combination of these to the atmosphere? ❑Yes 0-No
2. Will the facility result of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? ❑Yes o
3. Will the facility result of hazardous materials, including but not limited to, chemical, plastics, rubber, resins, solvents,
paints, and other parts cleaners? ❑Yes PNo
4. Will the facility have use of above or underground storage tank? ❑Yes E?<o
5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes PlIqo
6. Will the facility result in the use of the equipment listed below? ❑Yes E-1Ko
(Select all that apply)
❑Abrasive Blasting Cabinet/Room
❑Air Conditioning System (containing > 50 Ibs of refrigerant)
❑Application of Paints/Adhesive/Resins
❑Baghouse/Dust Collector
❑Bakery Oven (gas fired)
❑Boiler/Water Heater (max. heat input = or > 1 million BTU/hr)
❑Charbroiler/Smoker
❑Coffee Roaster/Afterbunner
❑Internal Combustion Engine (rated > 50 bhp; e.g. back-up generator)
❑Mixing/Blending of Liquids and/or Powders
❑Molding /Extruding/Curing of Plastic
❑ Pharm ace utical/N utraceutical
❑Plasma/Laser Cutter
❑ Printing/Coating/Drying
❑ Production of Fumes/Dust/Smoke/Odors
❑Refrigeration Systems (containing > 50 Ibs of refrigeration
❑Deep Fryer (excluding equipment located at eating establishment) ❑Soldering Oven
❑Dry Cleaning Equipment ❑Spray Booth
❑Electrostatic Precipitator ❑Storage of Acids/Solvents/Organics Liquids/Fuels
❑Fermentation
❑Gasoline Storage & Dispensing Equipment
❑Storage Silos (sugar, flour, etc.)
If you answered "No" to any of the above questions and your facility will not have the following
equipment listed, this checklist is your clearance from AQMD. If you answered "Yes" to either question,
you must contact AQMD to determine if air quality permits are required. If permits are needed, AQMD will
assist you in submitting permit application(s) and then provide you with a clearance letter. You can call AQMD
at their Small Business Assistance Office at 1-800-CUT-SMOG (1-800-288-7664).
01C1-5(4"` "Z
Department of Planning & Building
2000 Main Street
Huntington Beach, CA 92648
Phone: (714) 536-5241 Fax: (714) 374-1647 Occupancy Application
18821 1 Delaware St 1207 GENERAL AMERICAN LIFE INS
110041 APN 159-262-05
Application Binder
Num Street Unit Bld
Job Address 18821 1 Delaware St 105 1 APN 159-262-05 RD 3615
Zoning SP14 Lot 5� Tract Block L�
File Number CofO?
02016-005906 Yes
02016-008526 Yes
02017-000336 Yes
X2017-005512 No
02017-005547 Yes
02018-000518 Yes
02018-002890 Yes
B2018-006307 No
02018-008384 Yes
02019-000014 Yes
02019-000057 Yes
02019-000155 Yes
Entered By Larrea, Seth
Default Inspector Stewart, Vic
Permit Type Certificate of Occupancy
Origin Counter
Building Use - City
Building Use - County
Description
Internal Notes
J L JI New Building?
BY PHOEBE"
CofO Number CO2019-000155 Choose PlintAll CofO Type Permanent
_...._._-......._.•_........J Sheets to Issue
Issued By Single C/O CofO Status Approved
Date Entered 01/08/2019
Status Issued
Issue Permit? Date
Issued By
Planner Beckman, Hayden
Plan Checker Kong, Sokar
Fees and Payments
Inspections
Cof0 Date Issued Temp. CofO Issued Date Printed
Utility Release Date Temp. COFO Expiration I �-
------•--•-
License Number
Click the « button to copy the Business License
information into the Certificate of Occupancy.
Business Name
Business Licenses Business Name
A252828
SEED & CROP PHASE I LLC
Business Type
A174512
PACIFICA DENTAL
Business Phone ( )
A169892
SUNDERRAJAN SOBHAM D
A233872
REDDY ROHINI M D
Proposed Use I PERMANENT MAKEUP I Approved Occupied Area (Sci Ft) j 1,700.00
Former Use PERMANENT MAKEUP # of Stories
Conditions JPit4UNERT COSMETICS/ MICROBLADING ---ADDITIOANL OCCUPANT, APPROX. 100 SF.
a�
Change of Owner?
Elec. Available?
Drinking / Dining > 50 Occupants?
0
Change of Use?
o
Want Electricity On?
� Welding / Open Flame?
Change of Occupant?
Sprinklered?
Automobile Repairs?
Additional Occupant?
Dust / Wood? Auto Parts Desc.��---
;Occupancy • •
•..
Group Description
Area
Construction
Type Occupancy Load
B
SALON
1700
17
B
SALON
1700
17
Group Definitio Business Use - Building or structure, or a portion thereof, used for office, professional or service -type transactions,
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